# ADAMS COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADAMS MEMORIAL HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073691531
- **Authorized official:** MR. DANE E WHEELER (CFO)
- **Authorized official phone:** (260) 724-2145

## Contact information

- **Practice address:** 1100 MERCER AVE, DECATUR, IN 46733-2303
- **Practice address phone:** (260) 724-2145
- **Practice address fax:** (260) 728-3855
- **Mailing address:** 1100 MERCER AVE, DECATUR, IN 46733-2303
- **Mailing address phone:** (260) 724-2145
- **Mailing address fax:** (260) 728-3855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 60002071A | IN | — |
| 3336I0012X | Institutional Pharmacy | 60002071A | IN | Yes |
| 3336L0003X | Long Term Care Pharmacy | 60002071A | IN | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100338640A | — | IN |
| 01 | — | 1516600 | NABP/NCPDP | — |